# ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720441215
- **Legal business name:** ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC
- **Authorized official:** JANICE D MACKE (CFO)
- **Authorized official phone:** (518) 525-6931

## Contact information

- **Practice address:** 55 MOHAWK ST, SUITE 105, COHOES, NY 12047-2629
- **Practice address phone:** (518) 235-7282
- **Practice address fax:** (518) 235-4274
- **Mailing address:** 4 PALISADES DR, SUITE 200, ALBANY, NY 12205-1449
- **Mailing address phone:** (518) 591-1121
- **Mailing address fax:** (518) 649-4094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2016
- **Last updated:** 04/01/2016